Please display my name on the participant's public donor wall as:
Please do not display my name on the donor wall.
Participant Information
Event Name2024 Scott County Heart Walk
Event ID10877
Participant ID
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Scott County Heart Walk | 354 Waller Ave, Ste 110 | Lexington, KY 40504